Dialectical treatment of uterine fibroids

Dialectical treatment of uterine fibroids

When is TCM available and how effective is it? Chengcheng Xiao, Professor of Gynecology, Dongzhimen Hospital, Beijing University of Chinese MedicineIt can also prevent fibroid regeneration and soften residual traces.

  Ye Dunmin, Associate Professor of Gynecology, the First Clinical Medical College of Guangzhou University of Chinese Medicine: Clinically, for the diagnosis of giant uterine fibroids or fibroids that grow rapidly in the short term, or perimenopausal fibroids with significant endometrial hyperplasia, etc., in principle, do notAdvocate conservative medical treatment, including traditional Chinese medicine.

For other cases of uterine fibroids, Chinese medicine can be considered.

Uterine fibroids are treated with traditional Chinese medicine in the process of elimination, which can effectively prevent recurrence and have the effect of regulating menstruation and assisting pregnancy.

However, whether it is treated by Chinese medicine or western medicine, it should be checked regularly.

  He Yanping, Dean of School of Nursing, Guangzhou University of Traditional Chinese Medicine: Chinese medicine uses a combination of syndrome differentiation and syndrome differentiation to correct the evil and pay attention to improving the overall function.Taking into account the menstrual cycle, you can receive both tumor elimination and menstruation.

In addition, combined with acupuncture, acupoint injection, enema, external application and other external treatment methods, both internal and external treatment, its efficacy is significant, the recurrence rate is low, gradually becoming a major choice for conservative treatment of uterine fibroids.

  In the early stage of fibroids, by adjusting daily life and diet, and then supplemented with appropriate Chinese medicine treatment, generally can control its development, or gradually shrink or even disappear.

  4 types of syndrome differentiation and treatment □ Cheng Cheng Xiao, Professor of Gynecology, Dongzhimen Hospital, Beijing University of Traditional Chinese Medicine, although the disease name is not found in TCM literature, according to its clinical manifestations, it is mainly part of TCM “瘕”.”Shi Zhi” recorded in “” is very similar, mainly related to feelings of cold, depression, qi stagnation and qi stagnation and blood stagnation.

  We adopt the method of combining syndrome differentiation with disease differentiation and staged treatment. The principle of treatment is mainly to promote blood circulation to remove stasis, to soften and disperse nodules, to supplement qi and phlegm, and to regulate cold and heat.

At the same time, according to the strength of the patient’s physique, the specific condition will be treated with evidence.

It is mainly divided into four types of syndromes: Qi stagnation, blood stasis, phlegm dampness, and damp-heat. The same manifestation of various types of syndromes is that the uterus has a mass and is hard.The treatment method is as follows: The qi retention syndrome is mainly manifested with lower abdominal pain, pain is indeterminate, the lower abdomen is full, the fur is thin and moist, and the pulse is heavy.

The rule of law is qi stagnation, and blood circulation is eliminated.

Prescription medicinal fragrant pill (woody incense, clove, triangular ridge, clam shell, zedoary turmeric, green peel, Chuanxiongzi, cumin).

  ⑵Blood stasis syndrome mainly manifests as pain in refusing to press, dull complexion, dull skin, heavy menstrual flow or blood clots, dry mouth, do not want to drink, dark purple tongue or stasis on the edge, and heavy pulse.

The rule of treatment is to disperse the blood and clear the silt.

Medicinal Guizhi Fuling Pills (Guizhi, Poria, Paeoniae, Paeonia lactiflora, peach kernel) plus Sanling, Curcuma.

  (3) The phlegm-dampness syndrome is mainly manifested as pain in the lower abdomen or with irregular menstruation, with multi-colored whiteness, full chest tightness, pale tongue and greasy fur, and thin and smooth pulse strings.

Governing method is to regulate qi and remove phlegm, and eliminate stasis.

Prescription medicinal Kaiyu Erchen Decoction (manufactured by Pinellia, Chenpi, Poria, Green Peel, Xiangfu, Chuanxiong, Curcuma, Woody, Betel Nut, Licorice, Atractylodes, Ginger).

  ⑷Damp and heat syndrome is mainly manifested as multicolored yellow or stinky, pain in the lower abdomen and lumbosacral area and swelling, menstrual period worsening, less urine color yellow, may be accompanied by prolonged menstruation or excessive menstruation, red tongue, yellow greasy fur, pulse stringsSlip number.

The treatment method is to clear heat and dampness, and eliminate stasis.

Prescription medicinal rhubarb peony soup (Rhubarb, Glauber’s salt, Danpi, Peach kernel, Winter melon seeds) with red rattan, spoiled herb, pangolin and so on.

  ◆ Experience I believe that the etiology and pathogenesis of this disease are more common with qi deficiency and blood stasis, and the treatment principle of “stage treatment, qi elimination, and combination of tonic and elimination” is adopted.

Due to the different physiological and pathological characteristics of menstrual and non-menstrual periods, they must be treated in stages.

If there is a large amount of bleeding during menstruation, Yiqi shrinks the uterus, dissolves stasis and hemostasis, and softening and stasis, and non-menstrual treatment is to promote blood circulation, dispel stasis, and soften stasis.It depends on the condition.

The dose is adjusted according to the specific conditions of the patient.

  When treated with Chinese medicine, the smaller the fibroid, the better the effect.

What is outstanding is that whether it is a decoction or a proprietary Chinese medicine, it must be applied under the guidance of a Chinese medicine practitioner from the hospital.

  ◆ Typical case Ms. Mao, 38 years old.

He came to our hospital in September 2002.

Symptoms: menstrual flow for more than a year, more than double the previous, lasting 8?
9 or 14 days, accompanied by fatigue and fatigue, lazy speech and shortness of breath.

In the past two months, my symptoms have worsened, and my period is usually 7?
At 9 days, her menstrual flow increased, her skin was dark and lumpy, and her abdomen and breasts were tender.

Observe that his complexion is obscure, his tongue is fat, his coat is white, and his veins are thin.

Gynecological examination found that the uterus was enlarged, such as more than 50 days pregnant, hard, and bilateral attachments were normal.

B-ultrasound revealed uterine fibroids, about 3 in size.
0 × 2.

1 × 1.
6 cm.

  TCM diagnosis was Qi deficiency and blood stasis, and Chinese medicine was given for 3 months.

After returning to the clinic in December 2002, her menstruation was normal, her face was rosy, and her symptoms had disappeared.

Examination revealed that the uterus had returned to normal and the fibroids had disappeared.

No recurrence was tracked in March 2003.

  How to choose a proprietary Chinese medicine □ Ye Dunmin, an associate professor of gynecology at the First Clinical Medical College of Guangzhou University of Traditional Chinese Medicine, has a large number of proprietary Chinese medicines for treating uterine fibroids on the surface. How should I choose?

The following are some of the common ones: Ju Li San Jie Wan, a famous Chinese medical gynecologist Luo Yuankai’s experience prescription, the author’s hospital preparation, which has the effects of qi dispersing, softening and astringent, promoting blood circulation, and is used for uterine muscle in various situations.tumor.

  Guizhi Fuling Capsule is an ancient traditional Chinese medicine prescription for various types of uterine fibroids.

  Gongliuqing Capsules activate blood circulation, eliminate stasis, nourish serum heat, and are used for uterine fibroids with significant blood stasis.

  Dahuang Zongchong Pill has strong attacking power and is used for patients with strong uterine fibroids.

  Gongxuening capsule is used for uterine fibroids that cause abnormal uterine bleeding, and does not eliminate fibroids.

  Pingxiao Capsule has anti-tumor effect and can also be used for righting Qi. It can be used for patients with fibroids or weak constitution.

  In addition to the proprietary Chinese medicines, the traditional Chinese medicines that can be used to treat uterine fibroids are: clearing heat and detoxifying: prunella vulgaris, barberry, cat’s claw, and mountain mushroom.

  Activating blood slag: Curcuma, Salvia miltiorrhiza, Tianqi, Liu Jinu, Wang Bulu.

  Liqi Sanjie: green peel, incense stick, lychee nucleus, cinnamon stick.

  Phlegm and dehumidification: Shichangpu, Poria, Atractylodes.

  Nourishing Qi and solids: astragalus, mulberry parasitism, mulberry branch, dodder, ripening land.

  Soft and strong loose knots: raw keel, oyster, Zhejiang shellfish, seaweed, kelp.